Mataxis, Theodore Christopher

Mataxis, Theodore Christopher is an sole proprietor health care provider with primary practice located at 318 N Main St , Troy NC 27371-3018. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mataxis, Theodore Christopher can be contacted via phone (910) 576-1188.

Contact Information

Primary practice address
318 N Main St Troy NC 27371-3018
Phone: (910) 576-1188
Fax: (910) 576-1182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2540 North Carolina
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2540 North Carolina
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 2540 North Carolina

Profile Details

NPI number 1629109954
LBN Legal business name Mataxis, Theodore Christopher
Credentials M.A., L.P.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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